Provider Demographics
NPI:1861550170
Name:BAPTISTE, LYNETTE DENISE
Entity type:Individual
Prefix:MS
First Name:LYNETTE
Middle Name:DENISE
Last Name:BAPTISTE
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:746 E PIPELINE RD
Mailing Address - Street 2:
Mailing Address - City:HURST
Mailing Address - State:TX
Mailing Address - Zip Code:76053-6011
Mailing Address - Country:US
Mailing Address - Phone:817-845-8383
Mailing Address - Fax:817-284-4000
Practice Address - Street 1:746 E PIPELINE RD
Practice Address - Street 2:
Practice Address - City:HURST
Practice Address - State:TX
Practice Address - Zip Code:76053-6011
Practice Address - Country:US
Practice Address - Phone:817-845-8383
Practice Address - Fax:817-284-4000
Is Sole Proprietor?:Yes
Enumeration Date:2006-12-05
Last Update Date:2022-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX101YM0800X101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health